ACTUAL Questions and CORRECT
Answers
Management for pt with ruptured ectopic - CORRECT ANSWER - Ex lap/laparotomy
Conditions that need to met prior to methotrexate therapy for ectopic pregnancy - CORRECT
ANSWER - Hemodynamic stability, nonruptured, size < 4cm, no fetal HR, normal liver
enzymes, normal WBC, and ability to follow up rapidly
Definition - threatened abortion - CORRECT ANSWER - Vaginal bleeding before 20 wks
without the passage of any products
Definition - missed abortion - CORRECT ANSWER - Fetal demise without cervical
dilation or passage of products of conception
Definition - recurrent abortion - CORRECT ANSWER - Three successive spontaneous
abortions
Cause of the majority of first trimester spontaneous abortions - CORRECT ANSWER -
Genetic abnormalities of the conceptus
Most common karyotype in spontaneous abortuses - CORRECT ANSWER - Autosomal
trisomy
Conditions associated with early pregnancy loss - CORRECT ANSWER - Diabetes
mellitus, chronic renal disease, lupus
Environmental factors associated with spontaneous abortion - CORRECT ANSWER -
Smoking, alcohol, radiation
, Indications for dilation and curettage for tx of miscarraige - CORRECT ANSWER -
Actively bleeding and anemic
Tx of pregnant pt with incompetent cervix - CORRECT ANSWER - Cervical cerclage at
14 wks
Effects on subsequent pregnancies of a first trimester surgical abortion - CORRECT
ANSWER - None
Teratogenic effects of lisinopril - CORRECT ANSWER - Oligohydramnios, fetal growth
retardation, neonatal renal failure, hypotension, pulmonary hypoplasia, joint contractures and
death
Most common cause of sepsis in pregnancy - CORRECT ANSWER - Pyelonephritis
Tx for asthmatic pt needing more frequent albulterol tx - CORRECT ANSWER - Inhaled
corticosteroids and cromolyn sodium
Time of screening of gestational diabetes in avg risk patients - CORRECT ANSWER - 24-
28 wks
Who to treat in pregnant pt with BV - CORRECT ANSWER - Just patient
Maternal disease that causes highest risk for mortality during pregnancy - CORRECT
ANSWER - Pulmonary HTN
Tx for pt with mitral valve prolapse in pregnancy with anxiety, palpitations, atypical chest pain,
and syncope - CORRECT ANSWER - Beta-blcokers